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Billing Specialist

Responsibilities:

The
Billing Specialist
is responsible for performing all billing and collection related duties on patient accounts. Performs a variety of Medical Records duties such as chart analysis, abstracting, audits and charging. Prepares and responds to correspondence and records for the release of patient information. This position is expected to be knowledgeable of the specific provisions in the managed care contracts as they relate to billing/reimbursement requirements.

Must be knowledgeable in the most current coding policy and patient confidentiality issues. Must be flexible to perform a variety of duties. This position requires strong interpersonal skills to regularly interact professionally, promptly and courteously with patients, physicians, and their offices and other Center personnel to maintain strong public and community relations while responding to their inquires/requests. May be assigned additional delegated responsibilities and special assignments by the Business Office Manager and Administrator. This position requires the full understanding and active participation in fulfilling the Mission of the Organization.

It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support the Organization s strategic plan and the goals and direction of the Performance Improvement Plan (PIP).

Qualifications

Requirements:

  • Must have one-year experience in outpatient special care, including medical records experience.
  • Must have experience processing superbills, co-pays, and prior authorizations.
  • Must have experience working with electronic medical records or demonstrate proficiency within 6 month
  • Capable of operating 10 key calculator and demonstrated computer skills.

Preferred:

  • Demonstrated proficiency in the most current coding conventions on ambulatory outpatient billing.
  • Knowledge of third party billing, including Medicare, Managed care, commercial, Worker s compensation and state Medicaid programs.
  • RHIT preferred.


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